Financial Incentives to Promote Effective Contraceptive Use Among Drug-Dependent Women

2013 ◽  
Author(s):  
Sarah H. Heil ◽  
Dennis J. Hand ◽  
Stacey C. Sigmon ◽  
Marjorie C. Meyer ◽  
Stephen T. Higgins
Keyword(s):  
Financial Incentives ◽  
Contraceptive Use ◽  
Drug Dependent ◽  
Effective Contraceptive

scholarly journals Dual Method Use among Postpartum HIV-Infected and HIV-Uninfected Malawian Women: A Prospective Cohort Study

2017 ◽  
Vol 2017 ◽  
pp. 1-9 ◽  
Author(s):  
Dawn M. Kopp ◽  
Jennifer H. Tang ◽  
Gretchen S. Stuart ◽  
William C. Miller ◽  
Michele S. O’Shea ◽  
...  
Keyword(s):  
Condom Use ◽  
Contraceptive Use ◽  
Secondary Analysis ◽  
Dual Method ◽  
Hiv Status ◽  
Telephone Surveys ◽  
Prevalence Ratios ◽  
Effective Contraceptive Method ◽  
Effective Contraceptive

Dual method use, use of condoms plus another effective contraceptive method, is important in settings with high rates of unintended pregnancy and HIV infection. We evaluated the association of HIV status with dual method use in a cohort of postpartum women. Women completed baseline surveys in the postpartum ward and telephone surveys about contraceptive use 3, 6, and 12 months later. Nonpregnant women who completed at least one follow-up survey were eligible for this secondary analysis. Prevalence ratios were calculated using generalized estimating equations. Of the 511 sexually active women who completed a follow-up survey, condom use increased from 17.6% to 27.7% and nonbarrier contraceptive use increased from 73.8% to 87.6% from 3 to 12 months after delivery. Dual method use increased from 1.0% to 18.9% at 3 to 12 months after delivery. Dual method use was negligible and comparable between HIV-infected and HIV-uninfected women at 3 months but significantly higher among HIV-infected women at 6 months (APR = 3.9, 95% CI 2.2, 7.1) and 12 months (APR = 2.7, 95% CI 1.7, 4.3). Dual method use was low but largely driven by condom use among HIV-infected women at 6 and 12 months after delivery.

Improving effective contraceptive use among opioid-maintained women

2014 ◽  
Vol 140 ◽  
pp. e84 ◽  
Author(s):  
Sarah H. Heil ◽  
D.J. Hand ◽  
Stacey C. Sigmon ◽  
M.C. Meyer ◽  
Stephen T. HIggins
Keyword(s):  
Contraceptive Use ◽  
Effective Contraceptive

Factors associated with highly effective contraceptive use among reproductive-age women in Peru: Evidence from a nationwide survey

2020 ◽  
Vol 245 ◽  
pp. 114-120
Author(s):  
David R. Soriano-Moreno ◽  
Anderson N. Soriano-Moreno ◽  
Angela Mejia-Bustamante ◽  
Cristhian A. Guerrero-Ramirez ◽  
Carlos J. Toro-Huamanchumo
Keyword(s):  
Contraceptive Use ◽  
Nationwide Survey ◽  
Reproductive Age ◽  
Factors Associated ◽  
Reproductive Age Women ◽  
Highly Effective ◽  
Effective Contraceptive

scholarly journals Peri-abortion contraceptive counseling: A systematic review of randomized controlled trials

PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0260794
Author(s):  
Patricia Gonzales-Huaman ◽  
Jose Ernesto Fernandez-Chinguel ◽  
Alvaro Taype-Rondan
Keyword(s):  
Systematic Review ◽  
Randomized Controlled Trials ◽  
Contraceptive Use ◽  
Cochrane Library ◽  
Controlled Trials ◽  
Randomized Controlled ◽  
Contraceptive Counseling ◽  
Counseling Interventions ◽  
Effective Contraceptive ◽  
Event Occurrence

Objective To assess the effects of peri-abortion contraceptive counseling interventions. Methods We performed a systematic review of randomized controlled trials (RCTs) that compared the effect of different types of peri-abortion contraceptive counseling interventions and were published as original papers in scientific journals. The literature search was performed in June 2021 in PubMed, Central Cochrane Library (CENTRAL), Scopus, and Google Scholar; without restrictions in language or publication date. Two independent authors identified studies that met the inclusion and exclusion criteria and extracted the data. The risk of bias was assessed using the Cochrane tool, and evidence certainty was assessed using the Grading of Recommendations Assessment, Development, and Evaluation (GRADE) methodology. Whenever possible, meta-analyses were performed. The protocol was registered at PROSPERO (CRD42020187354). Results Eleven RCTs were eligible for inclusion (published from 2004 to 2017), from which nine compared enhanced versus standard counseling. Pooled estimates showed that, compared to standard counseling, enhanced counseling was associated with a higher incidence of effective contraceptive use (>3 months) (relative risk [RR], 1.12; 95% confidence interval [CI], 1.09–1.16), although no significant difference was found in the incidence of long-acting reversible contraceptive use (RR, 1.25; 95% CI, 0.68–2.29), contraceptive uptake (RR, 1.06; 95% CI, 0.98–1.15), and obstetric event occurrence (RR, 0.91; 95% CI, 0.57–1.47). Certainty of evidence was very low for all outcomes. In addition, two studies compared contraceptive counseling provided by physicians versus that provided by non-physicians, which did not show significant differences. Conclusions Enhanced contraceptive counseling may favor effective contraceptive use but may not affect the rate of obstetric event occurrence. Also, the studies did not find a difference in the effects of counseling interventions given by different providers. Since evidence certainty was very low, future well-designed RCTs are needed to make informed decisions. Registration The study protocol was registered at PROSPERO (CRD42020187354).

scholarly journals Adolescent pregnancy and current contraceptive use among adolescent and young women aged 16-24 years in Durban and Soweto, South Africa

2021 ◽  
Author(s):  
Malgorzata Beksinska ◽  
Kalysha Closson ◽  
Jenni Smit ◽  
Janan Dietrich ◽  
Stefanie Hornschuh ◽  
...  
Keyword(s):  
South Africa ◽  
Adolescent Pregnancy ◽  
Contraceptive Use ◽  
Health Concern ◽  
Cross Sectional ◽  
Pregnant Females ◽  
Contraception Use ◽  
History Of ◽  
Effective Contraception ◽  
Effective Contraceptive

Abstract Background High rates of adolescent pregnancies in South Africa continues to be a pressing public health concern. This study examines (1) the prevalence of current contraceptive use; and (2) the independent association between adolescent pregnancy and effective contraception use. Methods This study uses baseline cross-sectional data from a youth-centered sexual and reproductive health (SRH) cohort study among youth (aged 16–24) in Soweto and Durban (2011–2017). Among 207/253 females reporting consensual sexual activity, crude and adjusted logistic regression examine associations between ever having an adolescent pregnancy (aged 15–19) or pregnancy at age 20–24 (ref no pregnancy) and effective contraception use (barrier and/or hormonal methods) in the last 6 months. Results Over one-third (34.3%, n = 71) of females reported a history of adolescent pregnancy and 13.0% (n = 27) had a pregnancy at age 20–24. Nearly all (95.9%, n = 94) first pregnancies were unintentional. Current effective contraceptive use was reported by 74.6% (n = 53) with an adolescent pregnancy, 66.6% (n = 18) of those pregnant at 20–24 years, and 46.8% (n = 51) of never pregnant females (p < 0.001). All effective contraceptive users pregnant at 20–24 years and 83% (n = 44) of the adolescent pregnancy group reported using hormonal methods vs. 52.9% (n = 27) of never pregnant females. In the adjusted model, a history of adolescent pregnancy was associated with 3.45 (95%CI = 1.75–6.82) times greater odds of effective contraceptive use (vs. no pregnancy). Conclusion suggest that adolescent females are accessing effective methods of contraception including hormonal methods only after a pregnancy event, highlighting the need for earlier provision of youth-friendly SRH services.

The Contraceptive Needs for STD Protection Among Women in Jail

2010 ◽  
Vol 37 (4) ◽  
pp. 568-579 ◽  
Author(s):  
Krista Oswalt ◽  
Galen J. Hale ◽  
Karen L. Cropsey ◽  
Gabriella C. Villalobos ◽  
Sara E. Ivey ◽  
...  
Keyword(s):  
High Risk ◽  
Sexual Health ◽  
Racial Differences ◽  
Sexually Transmitted Disease ◽  
Contraceptive Use ◽  
Transmitted Disease ◽  
Sexual Partners ◽  
Contraceptive Methods ◽  
Sexually Transmitted ◽  
Effective Contraceptive

We assessed the contraceptive needs of women in jails and their sexually transmitted disease (STD) history and risk to determine effective contraceptive methods for this population. A survey of demographics, sexual health, contraceptive use, and preferred method of contraception was completed by participants recruited at jails in a medium-sized metropolitan area. Results from 188 women indicated high rates of STDs, inconsistent contraceptive use, and use of unreliable and user-dependent contraception methods. Intended contraceptive use following release varied depending on women’s ability to bear children. Women planning to use condoms after release were more likely to have had an STD and more sexual partners than were women not planning to use condoms. Racial differences were found for participants’ sexual health and contraception histories. These women were at high risk for STDs and appeared to need education about contraception methods. Therefore, they might benefit from education on safe sex practices provided prior to release.

scholarly journals Alignment of PrEP use and effective contraceptive use among East African women in HIV serodiscordant partnerships

2020 ◽  
Vol 31 (13) ◽  
pp. 1263-1271
Author(s):  
Kenneth Ngure ◽  
Jennifer Velloza ◽  
Rena C Patel ◽  
Nelly R Mugo ◽  
Elizabeth A Bukusi ◽  
...  
Keyword(s):  
Contraceptive Use ◽  
Estimating Equation ◽  
Demonstration Project ◽  
African Women ◽  
Adjusted Relative Risk ◽  
East African ◽  
Concurrent Use ◽  
Effective Contraception ◽  
Exposure Prophylaxis ◽  
Effective Contraceptive

Women who have a prevention mindset may opt for concurrent use of oral pre-exposure prophylaxis (PrEP) and all forms of contraception; we therefore assessed how contraception may influence PrEP use or vice versa. We analyzed data from Kenyan and Ugandan HIV-uninfected non-pregnant women in sero-discordant partnerships who were participating in the Partners Demonstration Project. Using multivariable generalized estimating equation models, we estimated the associations between effective contraceptive use and 1) PrEP dispensation 2) high effective PrEP use. Among the 311 women (93.1% of all those followed in the Partners Demonstration Project) median age was 29 years (interquartile range [IQR] 24.0–35.0) and 115 (37.0%) reported using effective contraception at baseline. All the women initiated PrEP during the study and moderately high PrEP adherence was recorded at 73.1% of visits over an average 7.5 months following PrEP dispensation. Women (14.8%) consistently used an effective contraceptive throughout study follow-up. PrEP dispensation was more frequent among those concurrently using effective contraception, (adjusted relative risk [aRR] = 1.19; 95% confidence interval [CI] = 1.08–1.32) and contraceptive use was more common among those on PrEP (aRR = 1.63; 95% CI = 1.18–2.25). Among East African women at high risk of HIV infection, PrEP dispensation was more frequent among women using effective contraception, indicating that family planning outlets may be efficient locations to deliver PrEP.

Use of Effective Contraceptive Methods by Married Turkish Women: A Receiver Operating Characteristic Analysis

2012 ◽  
Vol 40 (5) ◽  
pp. 829-841 ◽  
Author(s):  
Ertugrul Colak ◽  
Ozlem Orsal ◽  
Ozgul Orsal ◽  
Sevgi Giray
Keyword(s):  
Family Planning ◽  
Operating Characteristic ◽  
Contraceptive Use ◽  
Receiver Operating Characteristic Analysis ◽  
Attitude Scale ◽  
Attitude Score ◽  
Turkish Women ◽  
Contraceptive Methods ◽  
Characteristic Analysis ◽  
Effective Contraceptive

We used an attitude scale to predict the use of effective contraceptive methods by Turkish women and to determine the appropriate attitude scale cut-off score that would best predict contraceptive use. Participants were 590 married Turkish women who completed a questionnaire developed by the authors and a family planning attitude scale developed by Orsal and Kubilay (2007). We found that the total attitude score could be a diagnostic measure to predict the use of effective contraceptive methods, with a novel cut-off score of 119. If the total score gained on the scale is over 119, the woman will be receptive to information about family planning and use of effective contraceptive methods.

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